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Alkermes posts positive phase 1b ADHD results

Alkermes reports phase 1b proof-of-concept data for ALKS 7290 in adult ADHD and advances the program into an enrolling phase 2 trial with data expected in 2027.

(High)
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Alkermes plc (ALKS) reported positive topline results from a phase 1b, proof‑of‑concept study of ALKS 7290, its novel oral orexin 2 receptor agonist, in adults with attention-deficit hyperactivity disorder (ADHD). The study in healthy volunteers and 50 adults with ADHD met its primary objective of characterizing safety, tolerability, pharmacokinetics and pharmacodynamics.

In adults with ADHD, ALKS 7290 was generally well tolerated and produced dose‑dependent, clinically meaningful median reductions at day 14 on exploratory efficacy scales: 14.0 points and 19.0 points on the 54‑point AISRS for the 20 mg and 50 mg doses, and 1.0 and 2.0 point reductions on CGI‑S, indicating shifts from markedly or moderately ill to mildly ill. No serious treatment-emergent adverse events were reported, and most adverse events were mild.

The company stated that these data provide the first clinical evidence of the effects of an orexin receptor agonist in ADHD and support the dose range selected for an ongoing, well‑powered phase 2 study of ALKS 7290 in adults with ADHD, which is enrolling approximately 312 participants with data expected in 2027.

Positive

  • Phase 1b proof-of-concept achieved with dose-dependent clinical improvements on AISRS and CGI-S in adults with ADHD, providing the first clinical evidence for an orexin receptor agonist in this indication and supporting advancement of ALKS 7290 into a larger phase 2 trial.
  • Favorable safety and tolerability profile for ALKS 7290 in healthy volunteers and adults with ADHD, with no serious treatment-emergent adverse events, mostly mild side effects, no clinically significant hepatic, renal, vital sign or ECG findings, and no discontinuations in the active-treatment groups.

Negative

  • None.

Filing Explained

The filing adds an important limit to the reported ADHD results: the phase 1b study’s primary objective was safety and tolerability, and it was not designed or powered to detect statistically significant differences between treatment groups.

Item 7.01 Regulation FD Disclosure Disclosure
Material non-public information disclosed under Regulation Fair Disclosure, often investor presentations or guidance.
Item 8.01 Other Events Other
Voluntary disclosure of events the company deems important to shareholders but not covered by other items.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, or exhibit attachments filed with this report.
Adults with ADHD in phase 1b 50 participants Enrolled in the double-blind, placebo-controlled, parallel-group phase 1b study of ALKS 7290
Healthy volunteers in phase 1 88 participants Evaluated in single- and multiple-ascending dose portions of the phase 1 study
AISRS median reduction 20 mg 14.0 points Change from baseline in AISRS total score at day 14 for adults with ADHD receiving 20 mg ALKS 7290
AISRS median reduction 50 mg 19.0 points Change from baseline in AISRS total score at day 14 for adults with ADHD receiving 50 mg ALKS 7290
CGI-S median reduction 20 mg 1.0 point Change from baseline in CGI-S score at day 14 for the 20 mg dose group
CGI-S median reduction 50 mg 2.0 points Change from baseline in CGI-S score at day 14 for the 50 mg dose group
Planned phase 2 enrollment 312 participants Expected number of adults with ADHD in the ongoing phase 2 study of ALKS 7290
Phase 1b treatment duration 14 days Inpatient treatment period for adults with ADHD receiving ALKS 7290 or placebo
orexin 2 receptor (OX2R) agonist medical
"the company’s novel, investigational orexin 2 receptor (OX2R) agonist in development"
Adult ADHD Investigator Symptom Rating Scale (AISRS) medical
"exploratory endpoints evaluating change from baseline on established clinical scales, the Adult ADHD Investigator Symptom Rating Scale (AISRS)"
Clinical Global Impression-Severity Scale (CGI-S) medical
"and Clinical Global Impression-Severity Scale (CGI-S), at day 14 of treatment"
treatment-emergent adverse events (TEAEs) medical
"No serious treatment-emergent adverse events (TEAEs) were reported"
Adverse events that first appear or worsen after a patient starts a medical treatment; they are the new or intensified negative effects linked in time to taking the drug or therapy. Investors care because the number and severity of these events shape regulators’ decisions, drug labeling, patient uptake and potential legal or cost risks—think of them like customer complaints that can slow sales, trigger recalls, or change a product’s value.
pharmacokinetics (PK) medical
"evaluated the safety and tolerability (primary objective) and pharmacokinetics (PK) and pharmacodynamics (PD)"
Pharmacokinetics (PK) is the study of how a drug moves through and is processed by the body over time. It tracks how quickly a drug is absorbed, how it spreads, how it is broken down, and how it exits the body—similar to following a recipe’s ingredients from start to finish. For investors, understanding pharmacokinetics helps assess a drug’s effectiveness and safety, which can influence its market potential and valuation.
double-blind, placebo-controlled, parallel-group trial medical
"in a double-blind, placebo-controlled, parallel-group trial with two cohorts"

FAQ

AI-generated questions and answers. How Rhea-AI works. Not financial advice.

What did Alkermes (ALKS) announce about ALKS 7290 in this 8-K?

Alkermes announced positive topline phase 1b proof-of-concept results for ALKS 7290, an oral orexin 2 receptor agonist, in adults with ADHD, showing dose-dependent, clinically meaningful improvements on exploratory AISRS and CGI-S scales and a generally well-tolerated safety profile.

How many participants were included in the ALKS 7290 phase 1 study reported by ALKS?

The phase 1 program evaluated ALKS 7290 in 88 healthy volunteers and 50 adults with ADHD. The ADHD phase 1b portion used a double-blind, placebo-controlled, parallel-group design with two dose cohorts over 14 days of inpatient treatment.

What efficacy results did Alkermes (ALKS) report for ALKS 7290 on AISRS and CGI-S?

At day 14, ALKS 7290 showed median AISRS total score reductions of 14.0 points (20 mg) and 19.0 points (50 mg), and CGI-S reductions of 1.0 and 2.0 points, respectively, in adults with ADHD. These outcomes were described as clinically meaningful exploratory findings.

What safety profile did ALKS 7290 show in Alkermes’ phase 1 data?

ALKS 7290 was generally well tolerated across all doses in adults with ADHD and healthy volunteers. No serious treatment-emergent adverse events occurred; most events were mild. Common events included insomnia, pollakiuria, dizziness, changes in sustained attention, micturition urgency and constipation.

What are the next steps for ALKS 7290 in Alkermes’ development plan?

A phase 2 study of ALKS 7290 in adults with ADHD is enrolling approximately 312 participants. It will test once-daily and split-dose regimens versus placebo over four weeks, with change from baseline in AISRS total score at week four as the primary endpoint, and data expected in 2027.

How is ALKS 7290 designed to work according to Alkermes (ALKS)?

ALKS 7290 is a novel oral orexin 2 receptor agonist. Orexin is a neuropeptide involved in regulating wakefulness and neural circuits linked to attention, cognition and mood. By targeting this system, ALKS 7290 is being developed to address symptoms in ADHD and potentially other neurological disorders.

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0001520262FalseAlkermes plc.00015202622026-09-212026-09-21

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d) OF THE

SECURITIES EXCHANGE ACT OF 1934

Date of Report (Date of earliest event reported): September 21, 2026

ALKERMES PUBLIC LIMITED COMPANY

(Exact name of registrant as specified in its charter)

 

Ireland

 

001-35299

 

98-1007018

(State or other jurisdiction

 

(Commission

 

(IRS Employer

of incorporation)

 

File Number)

 

Identification No.)

 

 

 

 

 

 

Connaught House, 1 Burlington Road

Dublin 4, Ireland D04 C5Y6

(Address of principal executive offices)

 

Registrant's telephone number, including area code: + 353-1-772-8000

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

 

 

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

 

 

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

 

 

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

 

Trading Symbol(s)

 

Name of each exchange on which registered

Ordinary shares, $0.01 par value

 

ALKS

 

Nasdaq Global Select Market

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

 

 

 

Emerging growth company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 

 

 


 

Item 7.01 Regulation FD Disclosure.

On September 21, 2026, Alkermes plc (the “Company”) issued a press release regarding the positive topline results described in Item 8.01 of this Current Report on Form 8-K. A copy of the press release is furnished herewith as Exhibit 99.1 and is incorporated herein by reference.

 

The information in this Item 7.01, and in Exhibit 99.1 furnished herewith, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, or incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in such a filing.

 

Item 8.01 Other Events.

 

On September 21, 2026, the Company announced positive topline results from a phase 1 proof-of-concept study evaluating ALKS 7290, the Company’s novel, investigational orexin 2 receptor (OX2R) agonist in development for the treatment of attention-deficit hyperactivity disorder (ADHD).

 

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits

 

EXHIBIT INDEX

 

Exhibit No.

 

Description

 

 

 

99.1

 

Press release issued by Alkermes plc dated September 21, 2026.

104

 

Cover page interactive data file (embedded within the Inline XBRL document).

 

 

 

2


 

SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

 

ALKERMES PLC

 

 

Date: September 21, 2026

By:

 

/s/ David J. Gaffin

 

 

 

David J. Gaffin

 

 

 

Secretary

 

3


Exhibit 99.1

 

Alkermes Contacts:

 

 

For Investors:

Sandy Coombs, +1 781 609 6377

 

For Media:

Gretchen Murphy,+1 781 609 6419

 

Alkermes Announces Positive Phase 1b Results Demonstrating Clinical Proof-of-Concept for ALKS 7290 in Adults With Attention-Deficit Hyperactivity Disorder (ADHD)

— ALKS 7290 is the First Orexin 2 Receptor Agonist to Demonstrate Clinically Meaningful Improvements in ADHD Symptoms in Adults —

 

— ALKS 7290 Was Generally Well Tolerated at All Doses Tested in Healthy Volunteers and Adults With ADHD —

 

— Phase 2 Study of ALKS 7290 in Adults With ADHD is Enrolling, Data Expected in 2027 —

 

DUBLIN, Sept. 21, 2026 -- Alkermes plc(Nasdaq: ALKS) today announced positive topline results from a phase 1 proof-of-concept study evaluating ALKS 7290, the company’s novel, investigational orexin 2 receptor (OX2R) agonist in development for the treatment of attention-deficit hyperactivity disorder (ADHD). The study evaluated the safety and tolerability (primary objective) and pharmacokinetics (PK) and pharmacodynamics (PD) of ALKS 7290 in healthy volunteers (n=88) and in adults with ADHD (n=50). In the phase 1 study, ALKS 7290 was generally well tolerated at all doses tested in healthy volunteers and adults with ADHD. In adult participants with ADHD, ALKS 7290 demonstrated dose-dependent, clinically meaningful improvements on exploratory endpoints evaluating change from baseline on established clinical scales, the Adult ADHD Investigator Symptom Rating Scale (AISRS) and Clinical Global Impression-Severity Scale (CGI-S), at day 14 of treatment. These findings represent the first clinical evidence of the effects of an orexin receptor agonist in the treatment of ADHD and further support the dose range selected for the ongoing phase 2 study evaluating the efficacy and safety of ALKS 7290 in adults with ADHD.

 

 


“ADHD is a common mental health condition that can have profound effects on multiple aspects of daily life, including academic achievement, career success, relationships and overall physical and emotional well-being. For many patients today, there remains a critical need for differentiated therapies that provide strong, well-tolerated efficacy,” said Greg Mattingly, M.D., Founding Partner of St. Charles Psychiatric Associates, President at Midwest Research Group and Associate Clinical Professor in the Department of Psychiatry at the Washington University School of Medicine. “These data provide early evidence supporting the potential of the orexin pathway to influence the brain’s neural networks that are linked to ADHD and suggest that ALKS 7290 could represent a meaningful new therapeutic approach for patients.”

The phase 1b study enrolled 50 adults with ADHD in a double-blind, placebo-controlled, parallel-group trial with two cohorts. Following a two-week washout of existing ADHD medications, participants were randomized (4:1, active:placebo) within each cohort to receive ALKS 7290 (total daily dose of 20 mg (n=20) or 50 mg (n=20), administered in split doses) or placebo (n=10) for 14 days of inpatient treatment. In addition to safety, tolerability and PK and PD effects, the study evaluated change from baseline across a range of exploratory endpoints to begin to characterize the effects of ALKS 7290 on symptoms of ADHD. The study was not designed or powered to detect statistically significant differences between treatment groups.

 

 


Topline results from the study include:

Clinical Endpoints

AISRS 1: ALKS 7290 demonstrated clinically meaningful2 improvements from baseline in ADHD symptoms as measured by the AISRS, a 54-point, clinician-administered, validated measure of ADHD symptom severity. At baseline, participants had a median AISRS total score of approximately 39, consistent with substantial ADHD symptom burden. Clinically meaningful improvements were observed as early as day 6, the first post-baseline AISRS assessment. At day 14, treatment with ALKS 7290 demonstrated median reductions from baseline in AISRS total scores of 14.0 points for the 20 mg dose and 19.0 points for the 50 mg dose. Clinically meaningful improvements were observed across AISRS Inattentive and Hyperactivity/Impulsivity subscales.
CGI-S3: ALKS 7290 demonstrated clinically meaningful2 improvements from baseline in overall ADHD disease severity as measured on the CGI-S scale. At baseline, participants had median CGI-S scores of 4.0 and 5.0 in the 20 mg and 50 mg dose groups, respectively. Clinically meaningful improvements were observed as early as day 6, the first post-baseline CGI-S assessment. At day 14, treatment with ALKS 7290 demonstrated median reductions from baseline in CGI-S scores of 1.0 for the 20 mg dose and 2.0 for the 50 mg dose, representing a shift in disease severity from markedly or moderately ill to mildly ill.

 

CNS Biomarkers and Objective Cognitive Performance Tests

The phase 1b study included multiple EEG-based biomarkers and performance-based cognitive tests designed to measure dose-related central activity and domains underlying ADHD symptoms. Findings from these assessments support our dosing decisions for phase 2 and showed treatment effects of ALKS 7290 across important cognitive domains, including processing speed, information processing, working memory and attention.

Topline Safety

ALKS 7290 was generally well tolerated across all doses tested in participants with ADHD. No serious treatment-emergent adverse events (TEAEs) were reported.
Most TEAEs were mild in severity. The most common TEAEs4 were insomnia, pollakiuria, dizziness, change in sustained attention, micturition urgency, and constipation.
There were no clinically significant findings observed in hepatic or renal parameters, vital signs or ECGs.
Two participants in the placebo group discontinued the study; there were no discontinuations among participants receiving ALKS 7290.

 

In healthy volunteers (n=88), single- and multiple-ascending doses of ALKS 7290 were evaluated for up to 10 days. ALKS 7290 was generally well tolerated across all doses tested and the maximum tolerated dose was not reached. ALKS 7290 was observed to be centrally active and to have a PK and PD profile that supports oral dosing with a wide therapeutic index.

 

“Results from this phase 1 study of ALKS 7290 represent an important milestone in the advancement of our orexin portfolio and support our strategy to explore the potential of orexin biology beyond hypersomnolence disorders,” said Craig Hopkinson, M.D. (MBChB), Chief Medical Officer and Executive Vice President of Research & Development at Alkermes. “This exploratory, first-in-patient study was designed to provide early insights into the potential of orexin 2 receptor agonism as a novel treatment for adults with ADHD, and we are excited to see the emerging clinical profile of ALKS 7290. The results begin to build the foundation of our understanding of ALKS 7290, and we look forward to further evaluating its safety and efficacy in our ongoing well-powered phase 2 study.”

 


A phase 2 study evaluating the safety and efficacy of once-daily and split doses of ALKS 7290 compared to placebo in adults with ADHD is currently enrolling (NCT07755410). Following a two-week washout period of existing ADHD medications, participants will be randomized to receive one of three dosing regimens of ALKS 7290 or placebo. The study will evaluate the primary endpoint of change from baseline in AISRS total score at week four compared to placebo. The study is expected to enroll approximately 312 participants with ADHD. The first participant was dosed in September 2026.

About the ALKS 7290 Phase 1 Study

The phase 1 study for ALKS 7290 consisted of three parts: single-ascending dose and multiple-ascending dose evaluations in healthy volunteers (parts 1 and 2), and a phase 1b, proof-of-concept study in adults with attention-deficit hyperactivity disorder (ADHD) (part 3).

 

In the healthy volunteer portion of the study, each cohort included eight participants, six of whom were randomized to receive ALKS 7290 and two of whom received placebo. In the multiple-ascending dose portion, participants received doses of ALKS 7290 for up to 10 days. The objectives of parts 1 and 2 of the study were to assess ALKS 7290’s safety, tolerability, pharmacokinetics and pharmacodynamics.

 

The phase 1b proof-of-concept portion of the study (part 3) enrolled 50 adults with ADHD in a double-blind, placebo-controlled, parallel-group study. Following a two-week washout period of existing ADHD medications, participants within each cohort were randomized in a 4:1 (active:placebo) ratio to receive split doses of ALKS 7290 (total daily dose of 20 mg or 50 mg) or matching placebo for 14 days of inpatient treatment. The primary objective was to evaluate the safety and tolerability of ALKS 7290. Changes from baseline on established clinical ADHD scales, including the ADHD Investigator Symptom Rating Scale (AISRS) and the Clinical Global Impression-Severity Scale (CGI-S), were assessed as an exploratory objective. The study was not designed or powered to detect statistically significant differences


between treatment groups; findings disclosed are not in reference to any other study group. The study also included exploratory translational and neuropsychological performance measures to characterize the effects of treatment in a short duration study.

 

About ALKS 7290

ALKS 7290 is a novel, investigational, oral orexin 2 receptor (OX2R) agonist in development for the treatment of attention-deficit hyperactivity disorder (ADHD). Orexin, a neuropeptide produced in the lateral hypothalamus, plays a crucial role in regulating wakefulness, and engages multiple downstream pathways and neural circuits relevant to attention, cognition and mood.5 By targeting the orexin system, ALKS 7290 has the potential to address symptoms relevant to a broad range of disorders characterized by impairments in these domains. ALKS 7290 has been evaluated in a phase 1 study in healthy volunteers and adults with ADHD, and is currently being evaluated in a phase 2 study in adults with ADHD.

About Alkermes plc

Alkermes plc (Nasdaq: ALKS), a mid-cap growth and value equity, is a global biopharmaceutical company that seeks to develop innovative medicines in the field of neuroscience. The company has a portfolio of proprietary commercial products for the treatment of alcohol dependence, opioid dependence, schizophrenia, bipolar I disorder and narcolepsy. Alkermes’ pipeline includes late-stage clinical candidates in development for narcolepsy and idiopathic hypersomnia, and orexin 2 receptor agonists in early clinical development for other neurological disorders, including attention-deficit hyperactivity disorder (ADHD) and fatigue associated with multiple sclerosis and Parkinson’s disease. Headquartered in Ireland, Alkermes also has a corporate office and research and development center in Massachusetts and a manufacturing facility in Ohio. For more information, please visit Alkermes’ website at www.alkermes.com.


Note Regarding Forward-Looking Statements
Certain statements set forth in this press release constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, but not limited to, statements concerning: the potential therapeutic and commercial value of ALKS 7290, and the company’s expectations, including timelines, related to the ALKS 7290 development program. The company cautions that forward-looking statements are inherently uncertain. Although the company believes that such statements are based on reasonable assumptions within the bounds of its knowledge of its business and operations, the forward-looking statements are neither promises nor guarantees and they are necessarily subject to a high degree of uncertainty and risk. Actual performance and results may differ materially from those expressed or implied in the forward-looking statements due to various risks and uncertainties. These risks and uncertainties include, among others: clinical study results for ALKS 7290 may not be predictive of results of future stages of ongoing clinical studies, future clinical studies or real-world results; clinical studies for ALKS 7290 may not be initiated or completed on expected timelines or at all; ALKS 7290 may be shown to be ineffective or unsafe; the FDA may not agree with the company’s regulatory strategies or components of its development program for ALKS 7290, including clinical trial designs, conduct and methodologies; potential changes in the cost, scope and duration of the ALKS 7290 development program; and those risks and uncertainties described under the heading “Risk Factors” in the company’s Annual Report on Form 10-K for the year ended Dec. 31, 2025 and in subsequent filings made by the company with the U.S. Securities and Exchange Commission (SEC), which are available on the SEC’s website at
www.sec.gov. Existing and prospective investors are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. Except as required by law, the company disclaims any intention or responsibility for updating or revising any forward-looking statements contained in this press release.

 

1 AISRS: 18-item clinician-administered rating scale (score: 0-54) used to assess the severity of inattentive and hyperactive/impulsive ADHD symptoms in adults, with higher scores reflecting greater symptom severity.


2 Spencer TJ, Adler LA, Qiao M, et al. Validation of the Adult ADHD Investigator Symptom Rating Scale (AISRS). J Atten Disord. 2010;14(1):57-68. doi:10.1177/1087054709347435.

3 CGI-S: Clinician-rated, single item scale assessing severity of illness on a 7-point Likert-type rating scale (1 = normal, no signs of illness to 7 = among the most extremely ill patients).

4 TEAEs in ≥10% of participants treated with ALKS 7290.

5 Katzman MA, Katzman MP. Neurobiology of the Orexin System and Its Potential Role in the Regulation of Hedonic Tone. Brain Sciences. 2022; 12(2):150. https://doi.org/10.3390/brainsci12020150


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